• Associate Director , Portfolio…

    Otsuka America Pharmaceutical Inc. (Lincoln, NE)
    …effectively and efficiently. **About This Role** We are seeking a strategic, entrepreneurial Associate Director to drive the evolution of OPH's connected health ... platform across health experience services. This role requires a unique blend of systems thinking, product vision, and startup grit to translate ambiguous needs into… more
    Otsuka America Pharmaceutical Inc. (06/19/25)
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  • Medical Director - Care Plus - Florida

    Humana (Lincoln, NE)
    …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (04/24/25)
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  • Medical Director - OneHome

    Humana (Lincoln, NE)
    …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, DME, skilled nursing facility and waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other… more
    Humana (05/31/25)
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  • Medical Director - Mid West Region

    Humana (Lincoln, NE)
    …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
    Humana (05/14/25)
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  • Medical Director -Payment Integrity

    Humana (Lincoln, NE)
    …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
    Humana (06/06/25)
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  • Director , Provider Engagement

    Humana (Lincoln, NE)
    …of our caring community and help us put health first** The Director , Provider Engagement develops and grows positive, long-term relationships with physicians, ... providers and healthcare systems in order to support and improve financial and quality performance within the contracted working relationship with the health… more
    Humana (06/21/25)
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  • Manager, Care Management

    Humana (Lincoln, NE)
    …community and help us put health first** Reports directly to the Director , Case Management and supports the strategic priorities for Clinical Operations, Medical ... monitors coordination of Case Management program activities, ensuring maximum quality , benefits, and effectiveness for beneficiaries. Monitors Case Management team… more
    Humana (06/19/25)
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